Objective

To examine whether children with brain tumors treated with resection benefit from inpatient rehabilitation and to explore what factors present at admission may predict better functional outcomes.

Design

Retrospective cohort design.

Setting

Pediatric inpatient rehabilitation unit.

Participants

Forty patients (N=40; ages 3-21y; 42.5% female) admitted to the rehabilitation unit between 2003 and 2015 after brain tumor resection.

Interventions

Patients received multidisciplinary rehabilitation therapies as part of their admission to inpatient rehabilitation, including occupational, physical, and speech-language therapy.

Main Outcome Measures

Functional outcomes included the FIM for Children (WeeFIM) at discharge and 3-month follow-up as well as WeeFIM efficiency.

Results

A repeated-measures analysis of variance using patient WeeFIM Developmental Functional Quotients (DFQs) at admission, discharge, and 3-month follow-up showed significant gains in total WeeFIM DFQ scores across time. Admission WeeFIM DFQ, time from surgery to admission, and age at admission provided the strongest model for predicting discharge and 3-month follow-up WeeFIM DFQ scores. Admission WeeFIM DFQ and time from surgery to admission provided the strongest model for predicting WeeFIM efficiency. Total Neurological Predictor Scale (NPS) at admission did not add predictive power to any of the 3 models over and above patient characteristics (admission WeeFIM DFQ, age at admission, time from surgery to admission).

Conclusions

Patients admitted to inpatient rehabilitation after brain tumor resection made significant functional gains (as measured by the WeeFIM) during inpatient rehabilitation and continued to make significant gains 3 months after discharge. Age and timing of admission provided the strongest models for predicting patient outcomes. The NPS did not predict functional outcomes after rehabilitation when controlling for other variables known to influence rehabilitation outcomes.

中文翻译：

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脑肿瘤切除术后接受住院康复的儿童的功能增益

客观的

研究接受切除治疗的脑肿瘤儿童是否从住院康复中受益，并探索入院时存在的哪些因素可以预测更好的功能结果。

设计

回顾性队列设计。

环境

儿科住院康复单位。

参与者

40 名患者（N=40；年龄 3-21 岁；42.5% 女性）在脑肿瘤切除后于 2003 年至 2015 年间入住康复科。

干预措施

作为住院康复治疗的一部分，患者接受了多学科康复治疗，包括职业、身体和语言治疗。

主要观察指标

功能结果包括出院时的儿童 FIM (WeeFIM) 和 3 个月的随访以及 WeeFIM 效率。

结果

使用患者入院、出院和 3 个月随访时使用患者 WeeFIM 发育功能商 (DFQ) 进行的重复测量方差分析显示，随着时间的推移，WeeFIM DFQ 总得分显着提高。入院 WeeFIM DFQ、从手术到入院的时间和入院年龄为预测出院和 3 个月随访 WeeFIM DFQ 评分提供了最强的模型。入院 WeeFIM DFQ 和从手术到入院的时间为预测 WeeFIM 效率提供了最强的模型。入院时的总神经学预测量表 (NPS) 并没有为 3 个模型中的任何一个增加患者特征（入院 WeeFIM DFQ、入院时的年龄、从手术到入院的时间）的预测能力。

结论

脑肿瘤切除术后住院康复的患者在住院康复期间取得了显着的功能改善（由 WeeFIM 测量），并在出院后 3 个月继续取得显着改善。年龄和入院时间为预测患者预后提供了最有力的模型。在控制已知影响康复结果的其他变量时，NPS 并未预测康复后的功能结果。